| NPI | 1295381572 |
|---|---|
| Doing Business As | SOUTH SUBURBAN SURGICAL SUITES |
| Entity Type | Organization |
| Authorized Contact | JONATHAN BAILEY Authorized Official 203-609-1168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2024-10-29 |